靳三针合Vitalstim吞咽治疗仪治疗卒中后球麻痹的优效性研究

发布时间：2018-08-21 09:32

【摘要】：目的:本课题通过Vitalstim组、靳三针组及综合治疗组治疗球麻痹进行临床观察,以期得出靳三针联合Vitalstim吞咽治疗仪治疗脑卒中后球麻痹的优效性。方法:本研究收入诊断为卒中后球麻痹患者共90例,均来源于桂林市中医医院脑病科住院部及门诊。通过随机分配方法将90例符合纳入标准的研究对象分为3组,Vital Stim组、靳三针组及综合治疗组(靳三针合Vital Stim吞咽治疗仪),每组30例。各组均给予脑卒中基础治疗和吞咽功能训练。Vital Stim组给予Vital Stim吞咽障碍治疗仪治疗,靳三针组给予靳三针(脑三针、舌三针)针刺治疗,综合治疗组予靳三针合Vital Stim吞咽治疗仪治疗,其中靳三针针刺治疗一周5次(周一至周五),Vital Stim吞咽治疗仪治疗每日1次,各组共治疗3周。治疗3周及3月后,分别通过洼田饮水试验评分对其吞咽功能以及疗效进行评价。结果:(1)通过对三组病人进行洼田饮水试验评分、疗效评价,三组的吞咽功能均有改善,综合治疗组洼田饮水试验明显较Vital Stim组、靳三针组提高。疗效评价Vital Stim组有效率60%、靳三针组有效率63.3%及综合治疗组有效率83.3%。综合治疗组与Vital Stim组、靳三针组比较,差异有统计学意义(P0.05),Vital Stim组与靳三针组差异无统计学意义(P0.05)。(2)Vital Stim组发生不良反应2例、靳三针组发生不良反应1例,综合治疗组发生不良反应2例。三组比较,差异无统计学意义(P0.05)。结论:Vital Stim组、靳三针组及综合治疗组(Vital Stim吞咽治疗仪合靳三针)均能有效改善卒中后球麻痹患者的吞咽功能,临床疗效切确。靳三针联合Vitalstim综合治疗方案更有助于改善患者的吞咽功能,具有优效性。整个研究过程中未见明显不良反应,安全性较高,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of Vitalstim group, Jin three needle group and comprehensive treatment group in the treatment of bulbar paralysis after stroke by means of Jin three needles combined with Vitalstim swallowing therapy instrument. Methods: a total of 90 patients with poststroke bulbar palsy were diagnosed in this study, all of them were from the Department of Encephalopathy and outpatient Department of Guilin traditional Chinese Medicine Hospital. 90 patients who met the inclusion criteria were randomly divided into three groups: three groups of vital Stim group, three needles group and comprehensive treatment group (30 cases in each group). All groups were given basic treatment of stroke and swallowing function training. Vital Stim group was treated with Vital Stim treatment instrument for dysphagia, and Jin three-needle group was treated with Jin three-needle (brain three-needle, tongue three-acupuncture) acupuncture. The combined treatment group was treated with Jin three-needle therapy combined with Vital Stim swallowing therapy, in which Jin three-needle acupuncture was treated five times a week (Monday to Friday) with vital Stim swallowing therapy once a day, each group was treated for three weeks. After 3 weeks and 3 months of treatment, the swallowing function and curative effect were evaluated by Wata drinking water test score. Results: (1) according to the score of depression-drinking water test and the evaluation of curative effect, the swallowing function of the three groups was improved, and the drinking water test in the comprehensive treatment group was obviously higher than that in the Vital Stim group and Jin three-needle group. The effective rate was 60% in Vital Stim group, 63. 3% in Jin three needle group and 83. 3% in comprehensive treatment group. There was no significant difference between the combined treatment group and the Vital Stim group and the Jin three-needle group (P0.05). There was no significant difference between the vital Stim group and the Jin three-needle group (P0.05). (2) Vital Stim group 2 cases, Jin three needle group 1 case). Adverse reactions occurred in 2 cases in the comprehensive treatment group. There was no significant difference among the three groups (P0.05). Conclusion the (Vital Stim swallowing therapy instrument combined with Jin San Needle in Stim group, Jin three needle group and comprehensive treatment group can effectively improve the swallowing function of patients with poststroke bulbar paralysis, and the clinical curative effect is correct. Jin-3-Needle combined with Vitalstim is more helpful to improve the swallowing function of patients. There was no obvious adverse reaction during the whole study, and the safety was high, so it was worth popularizing.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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